Monument Healthcare Cottonwood Creek

1205 East 4725 South
Salt Lake City, UT, 84117
8012622908
CCN: 465074
1
Overall
2
Health
1
Staffing
4
Quality
ChainMONUMENT HEALTH GROUP
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
GUNNISON VALLEY HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
MURRAY, BRIANCORPORATE OFFICERNOT APPLICABLE
HEALTH GROUP MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MONUMENT HEALTH GROUP LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CLAWSON, TRAVISOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ESPINOSA, STEPHANIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FRAGOSO, LINDSAYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MARRIOTT, STEPHENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCKINNIE-REDMOND, FAITHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MORRIS, JACEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MURRAY, BRIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROBERTSON, BRETTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAMUELIAN, SPENCEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SEASTRAND, JASONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WEST, CHRISTIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WORKMAN, DAVIDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GUNNISON VALLEY HOSPITALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-04-04Fine$18K
Health Deficiencies (28)
2024-04-04 · Health
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
F584 · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
2022-05-05 · Health
E
F887 · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F770 · Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
G
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2019-12-05 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F676 · Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
2.83
3.68
RN Hrs/Resident/Day
0.46
0.54
LPN Hrs/Resident/Day
0.73
0.81
CNA Hrs/Resident/Day
1.64
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01